Heritage House At Keller Rehab & Nursing - Keller Nursing Home
General Information
UPDATEFederal Provider Number
675153
Provider Name
HERITAGE HOUSE AT KELLER REHAB & NURSING
Provider Address
1150 WHITLEY ROAD
KELLER, TX 76248
KELLER, TX 76248
Provider Phone Number
8174312518
Provider SSA County
910
Provider County Name
Tarrant
Ownership Type
For profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
110
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
KELLER SNF LLC
Date First Approved to Provide Medicare and Medicaid services
1993-07-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Resident
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
1
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
1
Staffing Rating Footnote
RN Staffing Rating
1
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.06773
Reported LPN Staffing Hours per Resident per Day
0.95136
Reported RN Staffing Hours per Resident per Day
0.44136
Reported Licensed Staffing Hours per Resident per Day
1.39273
Reported Total Nurse Staffing Hours per Resident per Day
3.46045
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04591
Expected CNA Staffing Hours per Resident per Day
2.38468
Expected LPN Staffing Hours per Resident per Day
0.67156
Expected RN Staffing Hours per Resident per Day
1.17339
Expected Total Nurse Staffing Hours per Resident per Day
4.22963
Adjusted CNA Staffing Hours per Resident per Day
2.12757
Adjusted LPN Staffing Hours per Resident per Day
1.17581
Adjusted RN Staffing Hours per Resident per Day
0.28105
Adjusted Total Nurse Staffing Hours per Resident per Day
3.29786
Cycle 1 Total Number of Health Deficiencies
1
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
0
Cycle 1 Standard Survey Health Date
2015-02-13
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
0
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
224
Cycle 2 Standard Health Survey Date
2014-01-31
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
8
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
64
Cycle 3 Standard Health Survey Date
2013-03-01
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
64
Total Weighted Health Survey Score
85.33300
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
1
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
0
Total Number of Penalties
0
Location
Processing Date
2015-06-01
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